The slack is then taken up by further twisting. Repeat this until the desired tension is achieved. Both loops must be tightened at the same time and in the same direction, to achieve equal tension on both arms of the wire.

Prevent later soft-tissue irritation

Sinking the K-wires

Cut the 2 K-wires obliquely approximately 1 cm from their insertion points and, with the help of a bending iron and forceps, bend through 180 degrees.
The K-wires are then driven home, sinking their curved ends into the bone in order to prevent backing out and skin injury.